Provider Demographics
NPI:1750464624
Name:STEIN, DAVID NATHAN (OD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:NATHAN
Last Name:STEIN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8605 FIRESTONE BLVD
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-5242
Mailing Address - Country:US
Mailing Address - Phone:562-869-1005
Mailing Address - Fax:562-861-5223
Practice Address - Street 1:8605 FIRESTONE BLVD
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-5242
Practice Address - Country:US
Practice Address - Phone:562-869-1005
Practice Address - Fax:562-861-5223
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8162T152WC0802X
CA8126T152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management